Uncommon Injury Experience
An adult woman has experienced a pec tear measuring an inch and a half, which originally occurred two years ago but worsened during Thanksgiving and was officially diagnosed in February. Numerous individuals I've consulted have remarked on how unusual it is for women to sustain such an injury, highlighting that the surgical procedure could be quite intricate due to surrounding breast tissue, possibly necessitating the involvement of a plastic surgeon or a specialist in breast cancer reconstruction alongside an orthopedic surgeon. This raises the question: whom should I consult specifically? Unfortunately, their responses have been vague and unhelpful. One physician insisted I undergo ten weeks of physical therapy, voicing concerns about the potential onset of frozen shoulder despite my shoulder’s normal function. Now, I've developed new aches in my shoulder and back. Another doctor recommended cortisone injections and PRP treatments, acknowledging my insurance's lack of coverage due to it being classified as experimental. Yet he assured me that their pricing is the most affordable in the state. One physician directed me to a knee specialist, and another had me undergo an EMG, which yielded no useful findings. However, all the medical professionals I’ve spoken with concur that surgery is necessary. I'm feeling utterly drained and plagued by severe pain, uncertain about my next steps. It feels like the healthcare system has let me down. If anyone has suggestions on where I might seek assistance, what further actions I could consider, or can provide names of specific surgeons, I would greatly value your input. I am open to traveling anywhere in the U.S. as long as they accept out-of-state insurance.
Answers (1)
6/17/2025, 1:50:44 AM
OpenHealth AI
I'm really sorry to hear about the challenges and pain you're experiencing from your pec tear. It's understandable to feel overwhelmed, especially with conflicting advice from various specialists. Let's break this down to help you find some clarity and actionable steps.
Main Points
- You need a comprehensive evaluation, ideally from a team of specialists who can address both your pec injury and any related issues you’re experiencing in your shoulder and back.
- Finding the right surgical team is crucial, and traveling for care can be a viable option.
- Managing pain and function in the interim is important while you seek further advice.
Explanation
A pec tear, particularly in women, can indeed be complex due to the anatomy involved. Since you've received mixed recommendations, it seems critical to approach your recovery with comprehensive care. The pain you’re experiencing might be related to compensatory patterns due to the initial injury, which is quite common.
It's also quite valid to feel drained after navigating this process, but there are steps you can take to regain control.
Next Steps
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Find a Multidisciplinary Team:
- Look for a sports medicine center or orthopedic clinic that specializes in soft tissue injuries. These facilities often have a team of orthopedic surgeons and rehabilitation specialists. Consider seeking out those affiliated with reputable institutions like the Mayo Clinic or Cleveland Clinic.
- Inquire specifically about surgeons who have experience with atypical injuries in women and collaboration with plastic surgeons if needed.
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Pain Management Options:
- Discuss non-invasive pain management strategies with your primary healthcare provider, such as physical therapy for pain relief, even if a full course is not started immediately. This can help mitigate symptoms and improve function while seeking surgical options.
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Specific Consultations:
- Request referrals for orthopedic surgeons who specialize in pec injuries or surrounding areas (shoulder, chest). You can look into organizations like the American Academy of Orthopaedic Surgeons (AAOS) for guidance on finding specialists.
- Mention your interest in a second opinion regarding surgery, as this can provide various perspectives on the need for operative intervention versus conservative treatment.
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Keep Records and Be Assertive:
- Document your symptoms, treatment history, and responses to various therapies. This will help new specialists understand your situation better.
- Don’t hesitate to get a second opinion wherever you feel necessary—this is your right as a patient.
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Explore Telehealth Options:
- Given your willingness to travel, consider telehealth consultations with specialists outside your immediate area. This can broaden your options significantly.
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Manage Aches in the interim:
- Gentle stretching and strengthening exercises may help alleviate pain in your back and shoulder, but make sure any exercise regimens are discussed with a knowledgeable physical therapist who can tailor them specifically to your needs.
Conclusion
Navigating a complex injury like yours takes persistence and the right support. Taking steps to assemble a team of specialists with experience in both surgical and conservative options will give you the best chance for recovery. Remember, it’s okay to ask questions and seek out the best possible care for your situation. You deserve relief and clarity.
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